Individual provider Active NPI

Randold Binns, D.M.D

  • Prosthodontics
  • Naples, FL
National Provider Identifier
1811399892
Registry record updated Oct 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
ProsthodonticsTaxonomy code 1223P0700X
License
DN21711 Issued in FL
Practice address
4413 Outer Dr
Naples, FL 34112-6762
Phone
(239) 775-2455
NPI assigned
Sep 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 019029980 IL
General Practice Dentistry 1223G0001X 019029980 IL
Prosthodontics 1223P0700X DN21711 FL Primary

Addresses

Primary practice location

4413 Outer Dr
Naples, FL 34112-6762

Mailing address

4413 Outer Dr
Naples, FL 34112-6762
Phone (239) 775-2455

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
019029980ILMDDentist
DN21711FLMDProsthodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Randold Binns DMD PLLC Prosthodontics CurrentSince Oct 31, 2021 Accepting new patients
Dental Dreams LLC Past Accepting new patients
Clary and Fueredi DDS General Practice PastSince Oct 31, 2021 Accepting new patients

Locations

4413 Outer Dr
Naples, FL 34112
Phone (239) 775-2455

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1811399892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4413 OUTER DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126762",
            "telephone_number": "239-775-2455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4413 OUTER DR",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341126762",
            "telephone_number": "239-775-2455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BINNS",
        "first_name": "RANDOLD",
        "credential": "D.M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-21",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "IL",
            "license": "019029980",
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "IL",
            "license": "019029980",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "",
            "desc": "Dentist, Prosthodontics",
            "state": "FL",
            "license": "DN21711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.